Chronic Nonspecific Neck Pain
Conditions
Keywords
chronic nonspecific neck pain, disability, predictive model, rehabilitation, pain intensity
Brief summary
The aim of this study is to develop a predictive model to identify which patients with chronic nonspecific neck pain are more likely to benefit from manual therapy and exercise program, or usual care.
Interventions
Participants in this group will receive a 6-weeks program of mobilization and progressive exercise for the neck flexors, 2 times a week.
Participants in this group will receive usual care in physiotherapy during the 6-weeks period.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic nonspecific neck pain at least 3 months, defined as pain in the cervical region without a specific anatomopathological diagnosis; * Adults between 18 and 65 years of age and literate in Portuguese;
Exclusion criteria
* History of cervical trauma and/or history of surgery in the prior 6 months; * Clinical signs of infection, tumor, neurological, inflammatory or systemic diseases; * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Neck Disability as measured by the Neck Disability Index (NDI) at follow-up 3 months. | Follow-up 3 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in NDI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in Neck Pain Intensity as measured by the Numeric pain rating scale (NRPS) at follow-up 3 months. | Follow-up 3 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
| Change from baseline in Neck Disability as measured by the Neck Disability Index (NDI) at 3 weeks. | 3 weeks | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in NDI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in Neck Disability as measured by the Neck Disability Index (NDI) at 6 weeks. | 6 weeks | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in NDI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in Neck Pain Intensity as measured by the Numeric pain rating scale (NRPS) at 3 weeks. | 3 weeks | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
| Change from baseline in Neck Pain Intensity as measured by the Numeric pain rating scale (NRPS) at 6 weeks. | 6 weeks | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Important Treatment response in global perceived recovery as measured by Patient's Global Impression of Change Scale at 6 weeks | 6 weeks | The clinically Important treatment response in global perceived recovery was defined as a value of ≥5 in Patient's Global Impression of Change Scale (range: 1-7 Likert Scale) |
| Clinical Important Treatment response in global perceived recovery as measured by Patient's Global Impression of Change Scale at follow-up 3 months | Follow-up 3 months | The clinically Important treatment response in global perceived recovery was defined as a value of ≥5 in Patient's Global Impression of Change Scale (range: 1-7 Likert Scale) |
| Clinical Important Treatment response in global perceived recovery as measured by Patient's Global Impression of Change Scale at 3 weeks | 3 weeks | The clinically Important treatment response in global perceived recovery was defined as a value of ≥5 in Patient's Global Impression of Change Scale (range: 1-7 Likert Scale) |